Lama, Lhakpa DolmaDas, TanyaNeupane, AsmitaLama, RoshanPandey, RakshyaKarki, Urmila2026-08-182026-08-182020https://hdl.handle.net/20.500.14572/7325Lhakpa Dolma Lama Department of Gynecology and Obstetrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Tanya Das Department of Gynecology and Obstetrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Asmita Neupane Kathmandu Medical College, Sinamangal, Kathmandu, Nepal Roshan Lama Kathmandu Medical College, Sinamangal, Kathmandu, Nepal Rakshya Pandey Kathmandu Medical College, Sinamangal, Kathmandu, Nepal Urmila Karki Department of Gynecology and Obstetrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalAbstract Quadruplet pregnancy is a pregnancy state where four fetuses grow simultaneously inside a mother’s womb. Four fetuses developing in a womb is a challenge not only to the mother but to the obstetrician who has to calculate every risk associated with such pregnancy. High order pregnancy is considered a high risk pregnancy due to increase in maternal, fetal and neonatal morbidity and mortality. So a multidisciplinary approach with early involvement of neonatologists and anesthesiologists for the assessment of such case is essential for a successful obstetric outcome. Here we present a case report of 27 years G3P1L1A1 at 33 weeks 2 days of gestation with quadruplet pregnancy with previous lower segment Cesarian section with history of ovulation induction, delivered successfully via cesarean section with successful outcome of all 1 female and 3 male babies. Keywords: case report; cesarean section; fertility agent; multiple pregnancy; pregnancy; quadrupletsen-UScase reportcesarean sectionfertility agentmultiple pregnancypregnancyquadrupletsArticle